WALDORF WOMENS CARE NPI 1073806089

NPI Information

  • NPI: 1073806089
  • Provider Name: WALDORF WOMENS CARE
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 21D2031403
  • Address: 4470 REGENCY PL
    SUITE 106
    WHITE PLAINS, MD
    ZIP 20695
  • Phone: (240) 252-2140

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NPI Details

WALDORF WOMENS CARE is an obstetrics gynecology in White Plains, MD. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WALDORF WOMENS CARE NPI is 1073806089. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4470 REGENCY PL
SUITE 106
WHITE PLAINS, MD
ZIP 20695-071
Phone: (240) 252-2140
Fax: (240) 252-2141

The provider's authorized official is Aryian Lurecia Cooke .
The authorized official title is Ceo and has the following contact phone number (240) 252-2140.

The CLIA number assigned to this NPI record is 21D2031403 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2011 and was last updated on 1/27/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyD0066210MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1413168100MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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